| NPI | 1114614344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-266833) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL C436-060-98-882-0) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-05-18 |